Finding 399207 (2023-001)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-05-31

AI Summary

  • Core Issue: The Network reported the wrong methodology for Provider Relief Funds, leading to discrepancies in final reconciliation.
  • Impacted Requirements: This misreporting violates the U.S. Department of Health and Human Services' reporting criteria for the Provider Relief Fund.
  • Recommended Follow-Up: Implement procedures to verify accuracy before submitting reports and maintain documentation for any necessary revisions.

Finding Text

Finding 2023.001: Reporting Grantor: U.S. Department of Health and Human Services Federal Program Name: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Assistance Listing Number: 93.498 Criteria In accordance with the reporting requirements of the U.S. Department of Health and Human Services, the Network is required to accurately report to HRSA the methodology applied to the provider relief funds received. Condition/Context In connection with the Reporting test for the Provider Relief Fund Award, we noted that the Network’s final reconciliation of the Provider Relief Fund Award did not agree to the reports submitted to HRSA due to the fact that the lost revenue option II was used rather than option III. Cause The Network inadvertently reported the incorrect methodology. Once identified, adjustments were required for final reconciliation to Provider Relief Funding, however, the Network was unable to revise or resubmit prior reports via the Provider Relief Portal. Questioned Costs None. Effect The Network did not comply with the appropriate rules and regulations as per the reporting requirements of the Provider Relief Fund program. Identification of Repeat Finding No Recommendation The Network should ensure that the reporting over the provider relief funds is accurate prior to submission. Views of Responsible Officials Procedures will be put in place to review accuracy of reporting prior to submission and management will maintain supporting documentation related to revisions identified on behalf of the Network.

Corrective Action Plan

May 23, 2024 Year Ended December 31, 2023 To Health Resources and Services Administration GEORGE PURDUE ADMINISTRATIVE BUILDING 9 CAREY ROAD QUEENSBURY, NY 12804 518-761-0300 WWW.HHHN.ORG Hudson Headwaters Health Network and Affiliates (the Network) respectfully submits the following corrective action plan for the year ended December 31, 2023. CohnReznick LLP 350 Church Street Hartford, CT 06103 Audit Period: December 31, 2023 The findings from the December 31, 2023 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. Federal Award Findings: Finding 2023.001 - Reporting Recommendation The Network should ensure that the reporting over the provider relief funds is accurate prior to submission. Action Taken The Network has all supporting documentation for provider relief reports previously submitted and any corrected adjustments that were required. No further action needed. If there are any question regarding this plan, please e-mail Laura Pasco at LPasco@hhhn.org, Chief Financial Officer

Categories

Reporting

Other Findings in this Audit

  • 975649 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $4.04M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $3.37M
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $2.58M
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $213,895
93.994 Maternal and Child Health Services Block Grant to the States $98,309
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $90,847
93.778 Medical Assistance Program $70,873